Island Chiropractic Center
Organization Active NPI Chiropractor · Chincoteague Island, VA
NPI 1780164947 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1780164947
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH9501 (FL)
- Legal business name
- ISLAND CHIROPRACTIC CENTER
- Practice address
- 6295 Teal LN
Chincoteague Island, VA 23336-2207 - Phone
- (321) 439-7265
- NPI assigned
- Aug 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Roden C Stewart, DC
- Title
- Owner
- Phone
- (321) 439-7265
Practitioners 1
-
Roden C Stewart, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190617003252 | VA | Part B Supplier - Clinic/Group Practice | 3375876717 |
Receives reassigned benefits from 1 practitioner Practice locations: Accomac, VA; Chincoteague, VA |
National Provider Directory
Locations
22639 Center Pkwy
Accomac, VA 23301
Phone (757) 302-0501
6295 Teal Ln
Chincoteague Island, VA 23336
Phone (757) 336-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH9501 | FL | Yes |
Addresses
Primary practice location
6295 Teal LN
Chincoteague Island, VA 23336-2207
Mailing address
6500 Leonard LN
Chincoteague Island, VA 23336-1334
Phone (321) 439-7265
Other providers in Chincoteague Island, VA
- Chincoteague Volunteer Fire Co
- Robert Coniglio
- Denise Day Crosson
- H & H Pharmacy
- Hagan Industries LLC
- Victor Luke Kulynycz
- Mary Susie Melvin
- John William Moore
- Lindsey Serena Plato-Johnson
- Roden C Stewart
All providers in Chincoteague Island, VA · Chiropractor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.